Dr. Alessio Fabbricatore<\/a>, biolog nutri\u021bionist specializat \u00een nutri\u021bie func\u021bional\u0103. <\/p>\nS\u0103 \u00eencepem!<\/p>\n
Problemele intestinale \u0219i cistita: exist\u0103 o leg\u0103tur\u0103? \u0218i care este rolul alimenta\u021biei atunci c\u00e2nd suferi\u021bi de cistit\u0103? <\/h2>\n
Majoritatea cistitelor sunt cauzate de infec\u021bii bacteriene, iar bacteriile responsabile provin din intestinele noastre.
\nUn exemplu este Escherichia coli, responsabil\u0103 de 80-90% din cistitele bacteriene. Cum este posibil ca aceste bacterii s\u0103 treac\u0103 neobservate \u00een interiorul vezicii urinare (care cu siguran\u021b\u0103 nu este f\u0103cut\u0103 pentru a g\u0103zdui aceste mici creaturi malefice)? <\/p>\n
I-am adresat Dr. Fabbricatore aceasta \u0219i alte \u00eentreb\u0103ri pentru a clarifica odat\u0103 pentru totdeauna leg\u0103tura dintre cistit\u0103 \u0219i intestin.<\/p>\n
Cistita bacterian\u0103 este mai frecvent\u0103 la femei din cauza trecerii bacteriilor patogene pe calea fecal\u0103-perineal\u0103-uretral\u0103, care este mai favorizat\u0103 de anatomia feminin\u0103. Cu toate acestea, este mai pu\u021bin cunoscut\u0103 posibilitatea ca trecerea bacteriilor intestinale \u00een vezica urinar\u0103 s\u0103 se produc\u0103 din interior: cum se poate \u00eent\u00e2mpla acest lucru \u0219i care sunt cauzele? <\/h3>\n
S\u0103 lu\u0103m \u00een considerare anatomia. Intestinul, care ocup\u0103 \u00eentregul abdomen, se afl\u0103 \u00een imediata apropiere a vezicii urinare \u0219i nu poate dec\u00e2t s\u0103 influen\u021beze mediul acesteia, \u00een special \u00een condi\u021biile \u00een care intestinul este inflamat, func\u021bioneaz\u0103 defectuos sau este constipat.
\nEvident, \u00een condi\u021bii normale, acest lucru nu ar trebui s\u0103 se \u00eent\u00e2mple, dar cine dintre noi poate pretinde c\u0103 are o microbiot\u0103 perfect s\u0103n\u0103toas\u0103 \u0219i, \u00een consecin\u021b\u0103, un intestin chiar \u0219i u\u0219or neinflamat?<\/p>\n
Revenind la constipa\u021bie, voi \u00eencerca s\u0103 explic de ce este at\u00e2t de important, \u00een special la pacien\u021bii cu antecedente de infec\u021bii urinare recurente, s\u0103 aib\u0103 evacu\u0103ri zilnice regulate (dar \u0219i satisf\u0103c\u0103toare).
\n\u00cen timpul constipa\u021biei, intestinul este incapabil s\u0103-\u0219i elimine con\u021binutul fecal \u00een mod regulat \u0219i, deoarece fecalele sunt constituite \u00een cea mai mare parte din greutatea lor uscat\u0103 din bacterii, aceast\u0103 mas\u0103 mare de bacterii normale din intestin nu este excretat\u0103. \u00cen plus, constipa\u021bia duce oricum la inflama\u021bie \u0219i aici se \u00eent\u00e2mpl\u0103 un fenomen care este acum mult mai frecvent dec\u00e2t credem: peretele intestinului nostru devine permeabil(Leaky Gut<\/em>). \u00cen mod normal, intestinul are un strat de celule at\u00e2t de str\u00e2ns unite \u00eenc\u00e2t formeaz\u0103 o palisad\u0103 selectiv\u0103 care permite doar trecerea „blocurilor necesare vie\u021bii”, dar nu permite trecerea „moleculelor str\u0103ine” (alergeni, bacterii etc.). Cu toate acestea, ea poate deveni mult mai permeabil\u0103 din cauza inflama\u021biei \u0219i permite trecerea liber\u0103 a alergenilor alimentari \u0219i a germenilor patogeni din lumenul intestinal \u00een circula\u021bia sanguin\u0103 \u0219i limfatic\u0103 sau direct \u00een organele \u00eenvecinate (cum ar fi vezica urinar\u0103). <\/p>\nEste de la sine \u00een\u021beles c\u0103 un intestin constipat, cu o mas\u0103 bacterian\u0103 important\u0103 care stagneaz\u0103 \u0219i care nu este bine protejat\u0103 de o mucoas\u0103 inflamat\u0103 \u0219i, prin urmare, mai permeabil\u0103, duce la inflamarea \u0219i penetrarea bacteriilor la nivel urologic. Numeroase studii au stabilit \u00een prezent c\u0103 intestinul este rezervorul bacteriilor care cauzeaz\u0103 \u00een mod normal cistita, dar este de asemenea cert \u00een prezent c\u0103 infec\u021biile urinare recurente sunt de obicei precedate de o a\u0219a-numit\u0103 „\u00eenflorire intestinal\u0103 a uropatogenilor”. \u00cen practic\u0103, microbiota noastr\u0103 se altereaz\u0103, se dezechilibreaz\u0103, iar anumite specii bacteriene proinflamatorii preiau controlul, ceea ce duce la ceea ce se nume\u0219te disbioz\u0103 intestinal\u0103. <\/p>\n
Exist\u0103 simptome\/semne pe care o femeie cu cistit\u0103 recurent\u0103 le poate urm\u0103ri pentru a \u00een\u021belege dac\u0103 cistita poate fi cauzat\u0103 de intestin permeabil<\/em> \u0219i disbioz\u0103?<\/h3>\nCu siguran\u021b\u0103 simptome intestinale, adic\u0103 scaune alternante, balonare abdominal\u0103, dificult\u0103\u021bi digestive, reflux gastro-esofagian. Cu toate acestea, deoarece intestinul este cel mai important organ imunocompetent din corpul nostru \u0219i con\u021bine o felie uria\u0219\u0103 din sistemul nostru imunitar, o stare de permeabilitate intestinal\u0103 pune la \u00eencercare \u00eentregul nostru organism. Se pot dezvolta numeroase sensibilit\u0103\u021bi \u0219i intoleran\u021be alimentare, precum \u0219i probleme ale pielii (dermatit\u0103, rozacee, erup\u021bii cutanate \u0219i papule bru\u0219te), migrene, artrit\u0103 \u0219i, din p\u0103cate, chiar boli autoimune. <\/p>\n
Cui ar trebui s\u0103 ne adres\u0103m pentru a ne clarifica ideile, pentru a ob\u021bine un diagnostic \u0219i, eventual, pentru a \u00eencepe un tratament? Poate fi vindecat\u0103? <\/h3>\n
Categoric la specialistul \u00een ginecologie \u0219i gastroenterologie.<\/p>\n
S\u0103 sper\u0103m c\u0103 vom reu\u0219i s\u0103 sc\u0103p\u0103m de viziunea extrem de restrictiv\u0103 de compartimentare a organismului. Aceast\u0103 practic\u0103 duce la concentrarea doar asupra simptomelor \u0219i, prin urmare, asupra p\u0103r\u021bii bolnave, care nu este dec\u00e2t v\u00e2rful icebergului problemei pe care \u00eencerc\u0103m s\u0103 o abord\u0103m. Cu alte cuvinte, trebuie s\u0103 ne \u00eentoarcem la o viziune global\u0103, integrat\u0103 a pacientului. <\/p>\n
Care este rolul nutri\u021biei \u0219i al unui nutri\u021bionist \u00een aceste cazuri?<\/h3>\n
dieta are cea mai puternic\u0103 influen\u021b\u0103 asupra comunit\u0103\u021bilor microbiene intestinale la subiec\u021bii umani s\u0103n\u0103to\u0219i. Aproximativ 75 % din alimentele din dieta occidental\u0103 sunt pu\u021bin sau deloc benefice pentru microbiota intestinal\u0103 inferioar\u0103. Majoritatea, \u00een special carbohidra\u021bii rafina\u021bi, sunt deja absorbi\u021bi \u00een partea superioar\u0103 a tractului gastrointestinal, iar ceea ce ajunge \u00een intestinul gros are o valoare limitat\u0103, deoarece con\u021bine doar cantit\u0103\u021bi mici de minerale, vitamine \u0219i al\u021bi nutrien\u021bi necesari pentru men\u021binerea microbiotei. <\/p>\n
Prin urmare, nutri\u021bia este un factor-cheie \u00een reducerea inflama\u021biei intestinale.<\/p>\n
<\/p>\n
\u00cei mul\u021bumim Dr. Fabbricatore pentru timpul \u0219i contribu\u021bia sa valoroas\u0103. Dr. Alessio Fabbricatore prime\u0219te \u00een Salerno \u0219i Nocera Inferiore. Urm\u0103ri\u021bi profilul s\u0103u Instagram pentru informa\u021bii suplimentare (@dr.alessiofabbricatore). <\/p>\n","protected":false},"excerpt":{"rendered":"
Prieten, Acum \u0219tim cum apropierea anus-uretr\u0103 la femei poate facilita absorb\u021bia bacteriilor fecale \u00een vezica urinar\u0103. Dar asta nu e tot: suntem siguri c\u0103 trecerea bacteriilor \u00een vezica urinar\u0103 nu se face \u0219i pe alte c\u0103i? De aceea, ast\u0103zi dorim s\u0103 clarific\u0103m o dat\u0103 pentru totdeauna corela\u021bia dintre cistit\u0103, intestine \u0219i nutri\u021bie. Vom face acest […]<\/p>\n","protected":false},"author":4,"featured_media":46014,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1047],"tags":[1051],"class_list":["post-46012","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-magazin","tag-cauze"],"acf":[],"yoast_head":"\n
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